多不饱和脂肪酸在非酒精性脂肪性肝炎中驱动中性粒细胞胞外诱捕网的形成。

Polyunsaturated fatty acids drive neutrophil extracellular trap formation in nonalcoholic steatohepatitis.

机构信息

State Key Laboratory of Natural Medicines, Key Laboratory of Drug Metabolism and Pharmacokinetic, China Pharmaceutical University, Nanjing, China.

State Key Laboratory of Natural Medicines, Key Laboratory of Drug Metabolism and Pharmacokinetic, China Pharmaceutical University, Nanjing, China.

出版信息

Eur J Pharmacol. 2023 Apr 15;945:175618. doi: 10.1016/j.ejphar.2023.175618. Epub 2023 Feb 24.

Abstract

Non-alcoholic steatohepatitis (NASH) is the hepatic manifestation of metabolic syndrome. Non-resolving inflammation, triggered by sustained accumulation of lipids, is an important driving force of NASH. Thus, unveiling metabolic immune regulation could help better understand the pathology and intervention of NASH. In this study, we found the recruitment of neutrophils is an early inflammatory event in NASH mice, following the formation of neutrophil extracellular traps (NETs). NET is an initiating factor which exacerbates inflammatory responses in macrophages. Inhibition of NETs using DNase I significantly alleviated inflammation in NASH mice. We further carried out a metabolomic study to identify possible metabolic triggers of NETs, and linoleic acid (LA) metabolic pathway was the most altered pathway. We re-analyzed published clinical data and validated that LA metabolism was highly correlated with NASH. Consistently, both LA and γ-linolenic acid (GLA) were active in triggering NETs formation by oxidative burst. Furthermore, we identified silybin, a hepatoprotective agent, as a potent NETosis inhibitor, which effectively blocked NETs formation both in vitro and in vivo. Together, this study not only provide new insights into metabolism-immune causal link in NASH progression, but also demonstrate silybin as an important inhibitor of NETs and its therapeutical potential in treating NETosis-related diseases.

摘要

非酒精性脂肪性肝炎(NASH)是代谢综合征的肝脏表现。非解决性炎症是由脂质持续积累引发的,是 NASH 的重要驱动力。因此,揭示代谢免疫调节可以帮助更好地理解 NASH 的病理学和干预措施。在这项研究中,我们发现中性粒细胞募集是 NASH 小鼠中的早期炎症事件,随后形成中性粒细胞胞外陷阱(NETs)。NET 是一种起始因子,可加剧巨噬细胞中的炎症反应。使用 DNAse I 抑制 NETs 可显著减轻 NASH 小鼠的炎症。我们进一步进行了代谢组学研究,以确定 NETs 的可能代谢触发因素,而亚油酸(LA)代谢途径是改变最明显的途径。我们重新分析了已发表的临床数据并验证了 LA 代谢与 NASH 高度相关。一致地,LA 和γ-亚麻酸(GLA)都通过氧化爆发积极触发 NETs 的形成。此外,我们确定了水飞蓟素,一种肝保护剂,作为一种有效的 NETosis 抑制剂,它可有效阻止体外和体内 NETs 的形成。总之,这项研究不仅为 NASH 进展中的代谢-免疫因果关系提供了新的见解,还证明了水飞蓟素作为 NETs 的重要抑制剂及其在治疗 NETosis 相关疾病中的治疗潜力。

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